Continuous diaphragm sign

Dr Dan J Bell and Dr Andrew Dixon et al.

The continuous diaphragm sign is a chest radiograph sign of pneumomediastinum or pneumopericardium if lucency is above the diaphragm, or of pneumoperitoneum if lucency is below the diaphragm. 

Normally the central portion of the diaphragm is not discretely visualised on chest radiographs as it merges with the cardiac silhouette. If the diaphragm can be seen continuously across the midline then this is highly suggestive of free gas within the mediastinum, pericardium or peritoneal cavity

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Article information

rID: 17747
System: Chest
Section: Signs
Tag: refs
Synonyms or Alternate Spellings:
  • Continual diaphragm sign

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Cases and figures

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    Case 1: pneumomediastinum
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    Assited erect rad...
    Case 2: pneumoperitoneum
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    Case 3: pneumoperitoneum
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    Case 4: pneumoperitoneum
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    Case 5
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    Case 6
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    Case 7: with a pneumomediastinum
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    Case 8
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